Crit Care. 2010;14(1):109. doi: 10.1186/cc8218. Epub 2010 Jan 29.
Patients requiring tracheostomies tend to have a longer length of stay due to their underlying disease. After a thorough literature search, Garrubba and colleagues found only three studies assessing the impact of multidisciplinary teams (MDTs) on tracheostomy patients on the ward. One consistent observation was the decreased time to decannulation after institution of MDT care when compared with historical controls. Although a large prospective randomized trial is desirable before MDT is recommended, many institutions may have already formed a team approach to provide coordinated care resulting in improved outcome and length of stay.
需要进行气管切开术的患者由于其基础疾病往往需要更长的住院时间。经过彻底的文献检索,Garrubba 及其同事仅发现三项研究评估了多学科团队 (MDT) 对病房中气管切开术患者的影响。一个一致的观察结果是,与历史对照相比,实施 MDT 护理后,拔管时间缩短。尽管在推荐 MDT 之前需要进行大型前瞻性随机试验,但许多机构可能已经形成了团队方法来提供协调护理,从而改善了结果和住院时间。